The application relates to compounds of formula A:(A), or a salt, solvate, ester, tautomer, amino acide conjugate, or metabolite thereof. The compounds of formula A are TGR5 modulators useful for the treatment of various diseases, including metabolic disease, inflammatory disease, autoimmune disease, cardiac disease, kidney disease, cancer, and gastrointestinal disease.本案係有關於式A化合物:(A), 或其鹽、溶劑合物、酯、互變異構物、胺基酸軛合物或代謝產物。式A化合物為用於治療各種疾病有用的TGR5調控劑,包括代謝性疾病、發炎性疾病、自體免疫病、心臟病、腎臟病、癌症及胃腸道疾病。